We help you overturn your rejected medical claims.
Medical aid said no? We check what went wrong, fight it for you and get your claim paid — one flat fee, every rand recovered stays yours.
Clinical Review
Your rejection letter, account and clinical notes checked against ICD-10 coding and your scheme's own rules.
Dispute Lodged
We draft the motivation and lodge the Section 48 dispute with your scheme, then escalate to the CMS if needed.
You Keep It All
One flat fee from R500 based on your claim size. No percentages, no commission, no cut of your recovery.
- From R500
- Flat review fee
- 0%
- Of what you recover
- 12+
- Schemes covered
Medical schemes we work with
We claim from, review against, and negotiate with every major open and restricted medical scheme in South Africa.
Four steps from a rejected claim to a lodged dispute
You send us the paperwork once. We do the clinical work, the drafting and the lodging.
01
Upload your documents
Your rejection letter, hospital account and clinical notes. Five minutes, straight from your phone.
02
AI clinical review
Your documents are read and checked against your scheme's rules, the ICD-10 Master Industry Table and Prescribed Minimum Benefit regulations.
03
Human reviewer verifies
A clinical reviewer on our team verifies every finding, corrects the coding where needed, and drafts the dispute letter and clinical motivation.
04
We lodge and escalate
The dispute pack goes to your scheme under Section 48. If they don't resolve it, we escalate to the Council for Medical Schemes.
One flat fee, based on the size of your claim
You pay once, upfront. Whatever your scheme pays back is yours — we never take a cut of it.
R500
Claims up to R10,000
Most day-to-day rejections
R1,500
Claims R10,001 – R50,000
Hospital and specialist accounts
R3,000
Claims over R50,000
Multi-code, PMB and long-stay cases
Rejected claim?Let's review it properly.
One flat fee based on the size of your claim. Every rand recovered stays yours.